12495 SW KATHERINE STREET 12495 SW KATHERINE STREET
I I I I i
t I'.
O Q s 7^
0-4
ro
I
H +
a O w FA .-
H c !tj
�
�l
mi Pk rX4 ra
T
INSPECTION NOT14"'E
City of Tigard Build, i,Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection —77�
Date Requested Tjrn7_. A.M.— 'VI.
Address --Lz� Permit
Owner Lot
Thp following Building Code delici4 -des are requited to be corrected:
Presented to Approved
Inspector Disapprvv,,d
Date
CALL FOR REIN7S FC'7Y0A
NO
City of Tigard
INSPECTION BEQUEST
for
INSPECTION TIME : _� • 0 PERMIT NC). :----
DATE ,
C). :DATE : -1_/e?
Z,12.5 DATE ISSUED
i
OWNERS NAME : _
A D D R E SS:
C 0 N T R A('T 0 R : _ — - -- _–---- --– -----
EST : dater ❑ , V:;;uni -aboratory r-]
RESULT * hp.,roved :)i3upproved G , - 1 endioq U --
SKETCH;
INSPECTOR DATE
NOTE Attach suppiemental test data heret'd
I city 9 of Tigard
and
INSPECTION REOUEST
p for
IN PECTION TIME : 1jo fl- PERMIT NO. : _ --
DATE 3 L`3- DATE ISSUED'
Z-1-OWNERS NAME :I_! _—
` ADDRESS : ... 4. 2 --___-
I CONTRACTOR :-----
TEST r 1, Water ��isi cf La' .rator� '�
RESULT. Approved , L` sapproved _1 ' ind1n9 �J
I SKETCH:
I
-'-;2
I
I
I
I INSPECTOR DINE
CN07E : Attach supplemental test d oto heret] R
1
,fir G
I 0
1
City of Tigard
'
INSPECTION REQUEST
for
INSPECTION TIME : ' ~j '� PERMIT NO. '----
DATE: 9'7/7
O. : - -
DATE: 97/z /1? DATE ISSUED' _1_L
OWNERS NAME : —�--
I ADDRESS :
I CONTRACTOR:-..---- —
Water `/isrcl D La' .rater! �1
TEST �1 r J , ',7 ,
RESULT: Approved Disapproved _l r'ending L7 i
I SKETCH: I
1
I
I
I
7 ?
I I SPECTOR DATE
CNOTE : Attach supplemental test data heret]
City of Tigard
INSPECTION REQUEST
for
INSPECTION 'TIME : 3�_.6� PERMIT NO. : _
DATE : , 7,2-DATE ISSUED : I L_
OWNERS NAME .' __ I /1 S
ADDRESS:CONTRACTOR :
TEST * Air E]. Woter[] , Visual, Laboratory L)
RESULT: Approve, Disapproved Pending
SKETCH.*
INSPECTOR DATE
(,NOTE: Attach supplemental teat data beret]
+710 Otw AR !IR ! � A< Ali A•
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : o_' PERMIT NO. : --
DATE: �-l_LILZL DATE ISSUED:
OWNERS NAME :
ADDRESS : �—
C ON1'RACTO R :__-- --- ------_-
TEST. Air ❑, Water X, Visual P�, Laboratory ❑
IRESULT: Approved 'W, Disapproved ❑ , Pending O
SKETCH:
I
1
I
I
I NSPECTOR DATE
ICOTS : Attach supplemental test data heret-01
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME PERMIT NO. '. ...—.—
DATE '. ATE I.SSUED----J—" --L—
OWNERS NAME :
ADDREM
CONTRACTOR :---
TEST k , -j , Water visi,GIL77 , -a'• -rctorjr.l
RESULT : Approved E) Di.scpproveH )4 Fending
SKETCH*.
CTOR DATE
1:140TE Attach supplemental test 0#t; he rot.-]
WK w Amp-
City of Tigard
INSPECTION REQUEST
f o r
INSPECTION TIME' PERMIT NO. :.----
DATE _/.p/ j 7 DATE ISSUED :---L.-Z-
-
OWNERS NAME —bV/-b-
ADDRESS
CONTRACTOR
E S T ' ,'1. -1 ter[j , v. uui !3 , I-aboratory 1—j
- , , W,�
RESULT * Ap.-,roved LJ , :)�,;appro�al Fj , !-jendioq
SKETCH u. T'-o'29
To Tug 00ex
cq
ArTOR DATE
NOTE Attach suppiomentol test data hereld
sr sit e.r er sir aw
AL
l
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : _�
DATE : DAT ISSUED
OWNERS NAME "
ADDRESS: /� Uy S^ L' Cl XX
C0N-rRACT0R
EST : , 'dater❑ , V'sual))�, 1_ab,:)ratort r
RESULT" . !kp--raved , Disapproved V e+idi tg p
SKETCH,*
J
2
v
1
INSPECTOR DATE
NOTEAft acn supLieme,ntal test data here �
i
Address y45, S k�.�c. Permit No.
r
Permit cbarge „� ..r.,..........,....,..
i
Owner n �c `�}1 4 Connection fee
Paid by
�r
Type of building t,c
Vete connected 5`5=13
a
Service rete ,oc:a qi�-,- s'.._:,`�._....- — Inspection fee
Contractor ` Paid by ��_� Date - �
\ Assessment Paid -- r
Size of connection �_ __ --�-----
1M.MY riY1��Y.YYM a.. moi- .a.. a1 ••'I�,n,� .�. wy.. xrKAw• YHM M �a• {1• -....
I'
PLUMIM PNRMT / ILICATION
Jurisdiction of
No. Type of Fixture Fee Permit No. 73-&-S--
Permit fee 0
Water Closets (Toilets) Permit Issue7c -a 7
2— Bath Tu-b s oi Approved by
Laystorya s Building Perm > >
Shower Receipt No. 7 Z.12
s Dis iwEt �ns cse
s r na Looatio of Building
"M aar
inks. op
Automatic Dishwasher
s osa
Trays Name gC Address Of -pe
a ns oor o
�►i,w. Area
a ne e r sera or rt
Rain ane
u oma c Washer Name g Address of Plumber
Fountains, Drinking
oun a �.e Soda
o a er Ta+ka
Wa ery ce xe �-
, Urinals guildin �`t'tt-vr New) (Alter,, RIRgIr or
Ce r, --Bass��ne~-`Tarot
awn .� r n , er�em
mm ni oo er
Sprinkler System
This permit becomes null and void if work or construction authorized is not
commenced w:lthin 60 days, or if construction or work is suspended or abandoned
for a perioc`. of 120 days at any time after work is commenced.
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond.
I hereby certify that I have read and examined this application and know the game
to be true and correct. All provisions of laws and ordinances gc,veriing this type
of work will be complied with whether specified herein or not, thr granting of a
permit does not presume to give authority to violate or cancel the provisions
of any other state or local law regulating construction: or the performance of
construction.
i
Signature of. Appl nt
UNIFIED SEWERAGE AGENCY NO. 4813
WASHINGTON C r,.)U NTY DATE 21 3-19-73
Tigard_T_
APPLICATION FOR SEWER CONNECTION PERMIT
David W. Mills
OWNER:
_.-_1 B.W. Best Bfod
OWNER'S ADDRESS: .._---- — - __ Rd.
S1 Rr ET
Us '�__ - -_ STAT 21P
---- -
-- - - CITY
BUILDING SITE: LOT.-_--42--_ BLOCK -___ ADDITIONBroolcMa ----
TAX LOT NU. _ 1 YPE OF OCCUPANCYs�'�n�
ADDRESS -- --- l?4y5 B.W. Katheri" Stswt
DWELLING UNITS -- l- - __ FIXTURE UNITS
SURCHARGE IF APPLICABLE _—_- - - --
PERMIT FEE -425 -- INSPECTION FEETOTAL DEPOSITED
(NEW) (EXISTING) BUA-DING SEWER SYSTEM _----
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT_ -- - �
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
David Nis
LINE SIZE 4 llINSTALLER _ -- -- --
RECEIVED BY I- -- 0-s AGENT)
- - ----
COMMENTS: '-73
This
This Application and permit expires in ninety (90) days. The amount paid will he forfeited
should expiration occur.
S,
't
CITY OF TIGARD
17474 t W. Main woo
TIOARo. OR@*ON 1rf12�
APPLICATION FOR BUILDING PERMIT
New Construction xI Demolish ❑ Addition ❑ Remodel IJ Move
ZONING R-7 DATE ISSUES) 3.15.73 _ BUILDING PERMIT
BUILDING FEE S-t1b•0 No. r.•
DATE RECEIVED 3-7-73 PLAN CHECK S--ate- F P�5J
B, '-"0'""-- OTHER $ VALUATION $r
r TOTAL $ 129.00 RECEIPT No. yG
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT 1 IQ MAP 1 291 3B8 CENSUS TRACT y.)s9 JOB A_
Architect or Engineer Buinler 6 Associates
Address_ , 4 8.1i. Bortha Blvd Pork-id — Phone
Owner David MillsAddress__._____ _ — Phone 639-8
Builder
Address --Phone
BUILDING USE Sfngle Res. a Multi Res. ❑ Comm. LJ Industrial
OCCUPANCY GROUP 1 No. of Stories= pi's Total Height 19 _— Area of Lot—
Type of Canatruction X = V Floor Area B_—_— 11596 __ 2�
Set Barks: Front 29 _ Back X(-- L.Side 6" __ R.Side_W
Private Sewer Pipe Size 40 Seweruse Tiard Septic Tank ❑
water Service Pipe Size` 3/4~,— Storm Sewer l ii Ditch ❑ Drywe?1 0
Street and Curb Requirements12isting ----
Driveway
__Driveway Width — _17" _No. of Parking Spaces_` _
SEPARATE PERMITS REQUIRED FOR SEWER AND PLU14HING
SPECIAL INFORMATInN
ADDRESS ASSIGNED _131E _B.M• l�tGar'rt�_it
FIELD CHECK BYF_--_ .__ - __ ._._DATE_3`13`73
FERMI^ ArPRI)VED BYE
It is understood that all work will conform with appl.cable codes and ordinances
of the State of Oreqon and the City of Tigard, Oregon, and that the building Vi
not be occupied until a Certificate of occupancy has been issued by the City of
Tigard Building Inspector.
Sig r e o - pA p 11 c'z1 n't —